The interface between U.S. primary care clinics and pharmacies for HPV vaccination delivery: A scoping literature review

Carney, Patricia A.; Bumatay, Sarah; Kuo, Grace m.; Darden, Paul M.; Hamilton, Andrew; Fagnan, Lyle J.; Hatch, Brigit

doi:10.1016/j.pmedr.2022.101893

Cited by 6 publications

(4 citation statements)

References 36 publications

(104 reference statements)

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“…It is worthwhile for future research to map these access points to facilitate parental navigation and increase access to HPV vaccination within the African American community. Because the current system does not guarantee sufficient time for communicating with patients in clinical settings, local pharmacies may contribute to closing the existing gap in vaccine communications between physicians and patients [ 61 ]. Pharmacists should also allow for dialogue with patients about HPV and the vaccination and offer recommendations [ 62 – 64 ].…”

Section: Discussionmentioning

confidence: 99%

Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee

Jin,

Lattimore,

Harlin

et al. 2023

BMC Health Serv Res

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Human papillomavirus (HPV) infects nearly 85% of sexually active Americans during their lifetime, causing most cervical and five other cancers. Routine HPV vaccination is recommended for adolescents to prevent HPV-attributable cancers, but HPV vaccination coverage remains low, especially in Tennessee. In 2021, 54.6% of the population in Shelby County, Tennessee was Black or African American, reporting higher rates of new cervical cancer cases than other counties in Tennessee. While medical and public health professionals (HPs) play a critical role in promoting vaccination coverage, little is known about the factors HPs perceive to influence HPV vaccination for this population. This study sought to explore HPs’ perceived facilitators and barriers of HPV vaccination among African American adolescents. Qualitative individual interviews with 26 HPs in Shelby County were conducted between October 2019 and February 2020. Interpretive content analysis of the interview data guided by the socio-ecological model revealed several important themes regarding the facilitators and barriers across the individual, interpersonal, and community levels. At the individual level, parental vaccine hesitancy emerged as a leading barrier to HPV vaccination, while appropriate education facilitated the vaccination. At the interpersonal level, a lack of strong provider recommendations impeded HPV vaccination, whereas improved communication skills with patients facilitated the vaccination. Finally, the community-level barriers included a lack of education and social/religious norms; the community-level facilitators included community outreach efforts. HPs should consider development of comprehensive community-based approaches that leverage the facilitators and barriers at multiple levels to increase HPV vaccination among African American adolescents in this region.

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Section: Discussionmentioning

confidence: 99%

Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee

Jin,

Lattimore,

Harlin

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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“… 33 Besides pharmacies and major hospitals, schools remain a major site for dispensing HPV vaccines, particularly in states with HPV vaccination mandates. 35 , 36 Therefore, recruiting the full spectrum of various health facilities to offer HPV vaccination consistently will help increase access to HPV vaccines. Moreover, since various health facilities serve distinct demography, this approach could rapidly expand HPV vaccine access within communities.…”

Section: Discussionmentioning

confidence: 99%

Barriers and determinants of consistent offering of HPV vaccination by healthcare facilities

Osaghae,

Chido-Amajuoyi,

Khalifa

et al. 2023

Human Vaccines & Immunotherapeutics

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Expanding access to HPV vaccination is critical to increasing HPV vaccine uptake. We assessed the determinants and barriers to consistent offering of HPV vaccine among healthcare facilities. This was a cross-sectional survey of healthcare providers (HCPs) in Texas. Prevalence of the reasons healthcare practices do not consistently offer HPV vaccination was estimated. Multivariable regression analyses were conducted. Of 1169 HCPs included in the study, 47.5% (95% CI: 44.6–50.3%) reported their practices do not provide HPV vaccination or do not offer it consistently. Compared to physicians, nurses had 77% lower odds (Adjusted Odds Ratio (AOR): 0.23, 95% CI: 0.16–0.32, p -value: < .001), and physician assistants had 89% lower odds (AOR: 0.11, 95% CI: 0.07–0.16, p -value: < .001) of their healthcare practices consistently offering HPV vaccination. Compared to university/teaching hospitals, the odds of healthcare practices consistently offering HPV vaccination were 44% lower (AOR: 0.56, 95% CI: 0.35–0.91, p-value: 0.019) in solo practices but 266% higher (AOR: 3.66, 95% CI: 2.04–6.58, p -value: < .001) in FQHC/public facilities. The common reasons healthcare practices do not consistently offer HPV vaccination were; HPV vaccination is not within the scope of the practice (48.1%), referrals to other clinics (27.7%), and limited personnel (11.4%). Non-physicians were more likely to report that HPV vaccination was not in their scope and to refer patients than physicians. Moreover, solo practices were more likely to report challenges with acquisition and storage of the vaccine and referral of patients as reasons for not consistently offering HPV vaccination than university/teaching hospitals, FQHC/public facilities, or group practices. System-level interventions including training of non-physicians and expansion of practice enrollment in programs that support HPV vaccine acquisition and storage are needed.

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“…Findings regarding these partnerships are reported elsewhere. 32 We developed a 21-item survey to assess associations between the clinic and community partnership intervention and rural parents' information-seeking behavior, knowledge about HPV cancer risk reduction, and the HPV vaccine series. The survey was designed to be completed within 48 h of a healthcare visit.…”

Section: Methodsmentioning

confidence: 99%

An Exploratory Study of Rural Parents’ Knowledge and Attitudes About HPV Vaccination Following a Healthcare Visit With Their Child’s Primary Care Provider

Dickinson,

Bumatay,

Valenzuela

et al. 2023

J Prim Care Community Health

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Introduction/Objectives: Annually, HPV infections result in $775 million in direct medical costs and approximately 46 000 new cases of HPV-associated cancers. Safe and highly effective vaccines have been available to prevent HPV for children/adolescents since 2006. Vaccination rates remain low, especially in rural areas. Parental attitudes and beliefs affect HPV vaccination rates. Methods: We developed, tested, and administered a survey that asked how parents and healthcare providers interacted about the HPV vaccine following a healthcare visit with an age-eligible child, as part of a multicomponent randomized controlled trial designed to improve HPV vaccination rates in rural Oregon. The 21-item survey assessed parents’ information-seeking behavior, knowledge about HPV cancer risk reduction, the HPV vaccine series, and their vaccine confidence. Results: Forty-three participants (59.7%) were in the intervention group; 29 (40.3%) were controls. Over 90% of healthcare visits were illness, injury, sports physical, or well-child visits (n = 67 or 93.1%), and 6.9% of visits were vaccine-specific. No statistically significant differences were found between study groups for healthcare visits. Over half the parents reported having discussions about HPV and the HPV vaccine (54.5%) with their care providers, 31.3% had recently learned about HPV, HPV risks, and the HPV vaccine prior to the visit, 83.1% were knowledgeable about cancers associated with HPV, and 79.2% were considering vaccinating their child(ren), which did not differ between study groups. Conclusions: Knowledge about HPV-related cancers and consideration for vaccinating children was higher than expected, but not associated with the intervention tested.

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The interface between U.S. primary care clinics and pharmacies for HPV vaccination delivery: A scoping literature review

Cited by 6 publications

References 36 publications

Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee

Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee

Barriers and determinants of consistent offering of HPV vaccination by healthcare facilities

An Exploratory Study of Rural Parents’ Knowledge and Attitudes About HPV Vaccination Following a Healthcare Visit With Their Child’s Primary Care Provider

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